Individual
MRS. HALEY GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 MASTERS CT, HIXSON, TN 37343-3012
(423) 316-1829
Mailing address
210 MASTERS CT, HIXSON, TN 37343-3012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4648
TN
225X00000X
Occupational Therapist
6497
GA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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